1477267730 NPI number — ON TIME PUBLIC TRANSPORTATION LLC

Table of content: (NPI 1477267730)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477267730 NPI number — ON TIME PUBLIC TRANSPORTATION LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ON TIME PUBLIC TRANSPORTATION LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477267730
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1575
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALINA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67402-1575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-643-1488
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
511 N SANTA FE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67401-1949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-201-2362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2023

Additional Information

Authorized Official

Authorized Official Last Name:
SCOTT
Authorized Official First Name:
LUCAS
Authorized Official Middle Name:
WAYNE
Authorized Official Title or Position:
SOLE PROPRIETORSHIP
Authorized Official Telephone Number:
785-643-1488

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 30004872400001 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com